KUTAIBA AL ITHAWI

MILWAUKEE, WI
NPI1821458811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QH0100X Clinic/Center Health Service
Enumeration Date2016-03-03
Last Update Date2016-03-03
Business Address
KUTAIBA AL ITHAWI
5205 S 13TH ST UNIT E
MILWAUKEE, WI 53221-3648
Phone number: 414-477-3398
Mailing Address
KUTAIBA AL ITHAWI
5205 S 13TH ST UNIT E
MILWAUKEE, WI 53221-3648
Phone number: 414-477-3398
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